Dear sir my brother addicted alcohol last 10 years. I gave him disulfiram tablet 250 mg daily in empty stomach in tea. On that days he just taking 1 bear only. Then he having so much irritation on his face. And when he drunk eyes are red, breathing problem, chest pain but he can't stop drinking. Then I gave 500 mg disulfiram but no effect on it r8 me also drinking. please sir help me out.
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Dear lybrate-user, disulfiram tablets needs to be taken with full information on its reaction with alcohol (irritation, red eye, breathlessness, chest pain, etc). Since disulfiram causes only aversion to alcohol, the craving to consume alcohol will continue to be there. For that your brother will need one of the anti craving tablets for 9 - 12 months. He also needs motivational enhancement therapy weekly for at least 12 weeks initially. There is no need to increase disulfiram dose to 500 mg.
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First and foremost motivate patient to quit alcohol if not then at least take him to a mental health professional who can do the same. Do not give any medication without prescription of the doctor.
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Firstly, You brother should be motivated to stop drinking alcohol. This may involve the initial step of education regarding the ill effects of using alcohol in increasing quantities on many organs or organ systems in the body. If you can have your brother consult a psychiatrist online or better so in-person, it will make your condition better as well as his. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.
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